Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01236 | Date 30/10/2018 |
| Token No | SM/21-22/2324 07/03/2022 | Serial | 005 |
| Patient Name | Mrs. KUMARI PRADHAN | Contact No | NOT GIVEN |
| Address | SERAMPORE COLLEGE | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||